functions of primary health center in ncd care
TRANSCRIPT
Dr. D. Sridhar
Post graduate
Department of community medicine
MGMCRI
Manpower for providing service for NCD patients in PHC
Medical officer
Health assistant
NCD staff Lab-technician
Auxiliary nurse
midwifery
Pharmacist
Role of NCD clinic in PHC1. Conduct opportunistic screening
2. Laboratory Investigations for Blood sugar, Blood cholesterol etc.
3.Diagnose and treat Diabetes and Hypertension.
4. Provide Health education to the patients and general public.
5. Refer the complicated cases to district hospital
Role of Medical officer in PHC1 .To conduct comprehensive examination for diagnosis
and management of the NCD cases
2. To rule out complications or advanced stage
3. To refer complicated cases to higher care facility
4. To provide follow up care to the patients
5. Overall supervision of NCD Unit
6. Assist in training of health personnel
Role of NCD Staff Nurses1 .To conduct screening of Diabetes, Hypertension and
common Cancers
2. To assist the Physician during the examination of patients, BP measurement
3. To explain the patient and family about risk factors of NCDs and promote Healthy Lifestyle
4. To assist in follow up care
Roles of ANM, HA , OA AXILIARY NURSE MIDWIFERY
Counseling , referral to primary health , maintenance of NCD registers.
HEALTH ASSISTANT
To provide counseling on diet and life style management.
To assist in follow up care and referral.
OPHTHALMIC ASSISTANT
To asses the refractive error and diminution of any vision
IEC/BCC Increased intake of healthy foods
Salt reduction
Increased physical activity/regular exercise
Avoidance of tobacco and alcohol
Reduction of obesity Stress management.
Awareness about warning signs of cancer etc.
Regular health check-up
Things needed
Investigations availableHb%TC,DCurine routine Random blood sugarFasting blood sugarPostprandial blood sugar
ECGUSGX-RAY
Drugs AvailableFollowing drugs are provided for 15 days
Diabetes - Metformin hydrochloride 500mg
Daonil (Glibenclamide) 5mg
Hypertension- Amlodipine 2.5/5mg
Atenolol 50mg
Enalapril 2.5/5mg
Cva /Stroke - Aspirin 10mg
Clopidogrel 75mg
Atorvastatin 75mg
Summary of activities in PHC A. Screening
B. Prevention and health promotion
C. Lab. investigations and Diagnostics
D. Diagnosis and Management
E. Referral
F. Data recording and reporting
G. Human Resources for CHC NCD services